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Organization
WELLNESS MEDICAL NYC PC
Active
Organization
WELLNESS MEDICAL NYC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARUCH KIM DO (PRESIDENT)
(917) 362-3687
Entity
Organization
Contact information
Practice address
39 W 14TH ST STE 205C, NEW YORK, NY 10011-7406
(917) 362-3687
Mailing address
39 W 14TH ST STE 205C, NEW YORK, NY 10011-7406
(917) 362-3687
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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